DE HB166

Allows out-of-state health care providers who are licensed in another state but not Delaware to provide workers' compensation medical services without certification and without requiring preauthorization.

Establishes reimbursement rates for non-certified out-of-state providers as the lesser of: usual and customary fees, Delaware's maximum allowable fee, the other state's maximum fee, or a negotiated contract rate.

Removes the certification requirement for out-of-state providers while making utilization review available to employers and insurance carriers for evaluating their services.

Permits the Workers' Compensation Oversight Panel to achieve the 2016 and 2017 mandated medical cost savings targets through any component of the health care payment system, not just the fee schedule.

Authorizes the Workers' Compensation Oversight Panel to adopt rules requiring electronic medical billing and payment processes and standardizing medical documentation for billing adjudication.